Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TRI-BOROUGH HOME CARE LTD

NPI: 1306858345 · BROOKLYN, NY 11203 · Home Health Agency · NPI assigned 08/11/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

97% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$10.20M
Total Medicaid Paid
55,866
Total Claims
2,460
Beneficiaries
2
Codes Billed
2018-01
First Month
2023-03
Last Month

Provider Details

Authorized OfficialCORT, KENRICK (PRESIDENT / CEO)
NPI Enumeration Date08/11/2006

Related Entities

Other providers sharing the same authorized official: CORT, KENRICK

ProviderCityStateTotal Paid
TRI-BOROUGH CERTIFIED HEALTH SYSTEMS OF NEW YORK. LLC BROOKLYN NY $127K
TRI-BOROUGH CERTIFIED HEALTH SYSTEMS OF NEW YORK. LLC HEMPSTEAD NY $116K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 20,743 $3.62M
2019 13,163 $2.46M
2020 10,171 $1.97M
2021 6,603 $1.22M
2022 4,359 $774K
2023 827 $151K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1019 Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 54,048 2,385 $9.90M
T1020 Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 1,818 75 $300K